Sex Contract – Contract for a Man to Sign

Kissing
Consent to mouth-to-mouth kissing
Yes No
If yes, what kind:
closed mouth kissing open-mouthed kissing with lips open-mouthed kissing with tongue light biting/nibbling heavy biting/nibbling
Consent to being kissed on the face and neck
Yes No
If yes:
will not hold the kisser responsible for hickies
Touching
Consent to being touched or fondled
Yes No
Consent to being touched on the chest
outside of clothes: Inside of clothes
Consent to being touched on the buttocks (not including anal penetration)
outside of clothes: inside of clothes
Consent to being touched in the crotch
outside of clothes: inside of clothes
Oral-Genital, Oral-Anal Contact
Consent to receive oral sex (fellatio)
Yes No
If receiving fellatio:
agree not to ejaculate in my partner’s mouth
Consent to receive oral sex performed on the anus (anilingus)
Yes No
Genital-to-Genital Contact
Agree to genital-to-genital contact, not including penetration (outercourse)
Yes No
If yes:
will use a condom
Vaginal penetration
Agree to vaginal penetration by my penis
Yes No
If yes:
agree to use of a condom
agree not to ejaculate within the vagina
I agree to get a prescription from a licensed physician before using Viagra or taking Levitra during sex
Anal penetration
Agree to anal penetration by fingers
Yes No
If yes:
1 fingers 2 fingers 3 fingers 4 fingers full fisting
Agree to anal penetration by sex toys
Yes No
If yes, which kind:
dildos vibrators butt plugs
Consent to penetrate my partner’s anus with my penis
Yes No
If yes:
agree to use of a condom
agree not to ejaculate within my partner’s anus
STDs
Have or had in the past the following STDs (sexually transmitted diseases): Check all that apply:
herpes syphilis gonorrhea genital or anal warts chlamydia HIV/AIDS hepatitis yeast infection
If I become infected:
will not hold the partner responsible for any disease or condition acquired during the sex act
Birth Control
I will use the following form(s) of birth control:
condom withdrawal spermicidal jelly/foam am sterile
Required: I am 18 years of age or older and possess the intellectual and emotional maturity required to consent to sex.
I consent to the sex acts listed above of my own free will. I have not been coerced into signing this document or agreeing to these terms. I have also not been paid any money, or expect to receive any form of remuneration now or in the future, for performing these sex acts.
I am not intoxicated with drugs or alcohol, my judgment is in no way impaired and I offer full and informed consent to these sex acts.
I acknowledge that this contract is for informational purposes only and may not be enforceable. I agree to review this contract with a licensed attorney in my locality before using it.
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